Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial...

49
Γλυκαντικές ουσίες και διαβήτης Σταύρος Σταύρου, MD

Transcript of Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial...

Page 1: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Γλυκαντικές ουσίες και διαβήτης

Σταύρος Σταύρου MD

bull 1994-1995 DCCT Dr Lorber Δίαιτα

bull Μητέρα Μπορεί ο γιος μου να πιει αναψυκτικό διαίτης

bull Ασθενής πίνει 2 εξάδες χ 15 λ τη εβδομάδα

bull Νεράκι

bull Υποκατάσταση

bull Αντιστάθμιση

bull lsquoΑνενεργές ουσίεςrsquo

Τι περιλαμβάνει bull Εισαγωγικά για τα γλυκαντικά

bull Κλινικές τυχαιοποιημένες ελεγχόμενες μελέτες

bull Μικρός αριθμός μικρή διάρκεια σχεδιασμός

bull Προοπτικές μελέτες (cohort studies) μετααναλύσεις τέτοιων μελετών ή μελετών ομάδων ασθενών και μαρτύρων (case-controlstudies)Reverse causality

bull Έρευνες στη φυσιολογία ndash Έντερο

ndash Μηχανισμούς κορεσμού και ικανοποίησης

4

1 τενεκεδάκι

asymp150 kcal μέρα7-kg χρόνο

Γλυκαντικές ουσίες

Εγκεκριμένα από το FDA και Ευρωπαϊκή Ένωση

bull ασπαρτάμη

bull ακετοσουλφάμη-Κ

bull κυκλαμικό οξύ

bull σουκραλόζη

bull σακχαρίνη

bull νεοτάμη

bull στέβια (γλυκοζίτες στεβιόλης)

bull Luo Han Guo

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 2: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

bull 1994-1995 DCCT Dr Lorber Δίαιτα

bull Μητέρα Μπορεί ο γιος μου να πιει αναψυκτικό διαίτης

bull Ασθενής πίνει 2 εξάδες χ 15 λ τη εβδομάδα

bull Νεράκι

bull Υποκατάσταση

bull Αντιστάθμιση

bull lsquoΑνενεργές ουσίεςrsquo

Τι περιλαμβάνει bull Εισαγωγικά για τα γλυκαντικά

bull Κλινικές τυχαιοποιημένες ελεγχόμενες μελέτες

bull Μικρός αριθμός μικρή διάρκεια σχεδιασμός

bull Προοπτικές μελέτες (cohort studies) μετααναλύσεις τέτοιων μελετών ή μελετών ομάδων ασθενών και μαρτύρων (case-controlstudies)Reverse causality

bull Έρευνες στη φυσιολογία ndash Έντερο

ndash Μηχανισμούς κορεσμού και ικανοποίησης

4

1 τενεκεδάκι

asymp150 kcal μέρα7-kg χρόνο

Γλυκαντικές ουσίες

Εγκεκριμένα από το FDA και Ευρωπαϊκή Ένωση

bull ασπαρτάμη

bull ακετοσουλφάμη-Κ

bull κυκλαμικό οξύ

bull σουκραλόζη

bull σακχαρίνη

bull νεοτάμη

bull στέβια (γλυκοζίτες στεβιόλης)

bull Luo Han Guo

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 3: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Τι περιλαμβάνει bull Εισαγωγικά για τα γλυκαντικά

bull Κλινικές τυχαιοποιημένες ελεγχόμενες μελέτες

bull Μικρός αριθμός μικρή διάρκεια σχεδιασμός

bull Προοπτικές μελέτες (cohort studies) μετααναλύσεις τέτοιων μελετών ή μελετών ομάδων ασθενών και μαρτύρων (case-controlstudies)Reverse causality

bull Έρευνες στη φυσιολογία ndash Έντερο

ndash Μηχανισμούς κορεσμού και ικανοποίησης

4

1 τενεκεδάκι

asymp150 kcal μέρα7-kg χρόνο

Γλυκαντικές ουσίες

Εγκεκριμένα από το FDA και Ευρωπαϊκή Ένωση

bull ασπαρτάμη

bull ακετοσουλφάμη-Κ

bull κυκλαμικό οξύ

bull σουκραλόζη

bull σακχαρίνη

bull νεοτάμη

bull στέβια (γλυκοζίτες στεβιόλης)

bull Luo Han Guo

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 4: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

4

1 τενεκεδάκι

asymp150 kcal μέρα7-kg χρόνο

Γλυκαντικές ουσίες

Εγκεκριμένα από το FDA και Ευρωπαϊκή Ένωση

bull ασπαρτάμη

bull ακετοσουλφάμη-Κ

bull κυκλαμικό οξύ

bull σουκραλόζη

bull σακχαρίνη

bull νεοτάμη

bull στέβια (γλυκοζίτες στεβιόλης)

bull Luo Han Guo

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 5: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Γλυκαντικές ουσίες

Εγκεκριμένα από το FDA και Ευρωπαϊκή Ένωση

bull ασπαρτάμη

bull ακετοσουλφάμη-Κ

bull κυκλαμικό οξύ

bull σουκραλόζη

bull σακχαρίνη

bull νεοτάμη

bull στέβια (γλυκοζίτες στεβιόλης)

bull Luo Han Guo

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 6: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Πολυόλες

bull σορβιτόλη

bull μαννιτόλη

bull ξυλιτόλη

2 θερμίδες ανά γραμμάριο

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 7: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

ADI

bull The FDA has established an acceptable daily intake limit (expressed in mgkg body weight) for each NNS and this value is usually set at

1100 of the no observed adverse effect

level (maximum level at which no adverse effects were seen in animal studies)

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 8: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

ADI και πόσο πιο γλυκό

Almeda-Valdeacutes P Rev Invest Clin 2017 May-Jun69(3)129-138

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 9: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Diabetes Care 2012 Aug 35(8) 1798-1808

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 10: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Sweeteners Daily Intake

Sweetener Acceptable Daily

Intake

Estimated Daily

Intake

Acesulfame

Potassium

15 52

Saccharin 5 083

Aspartame 50 87

Sucralose 5 16

Neotame 18 01

dayweightbodykg

sweetenermg

dayweightbodykg

sweetenermg

The Acceptable Daily Intake is determined by the FDA The Estimated Daily Intake is based on the amount consumed by people whose intake exceeds that of 90 of the population

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 11: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Carbonated soft drinks gallons per year per capita

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 12: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Prevalence ( SE) of nonnutritive sweetened beverage and food intake in the US population as determined by one 24-hour recall (National Health and Nutrition Examination Survey 2007ndash

2008) among individuals

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 13: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Prevalence ( SE) of nonnutritive sweetened beverage intake among US children and adults as determined by one 24-hour recall (National Health and Nutrition Examination Survey

2007ndash2008) according to age group

Christopher Gardner et al Dia Care 2012351798-1808

copy2012 by American Diabetes Association

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 14: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

14

2012 survey of American adults

by the International Food Information Council Foundation

51 of the respondents reported trying to limit sugar

44 were trying to limit high-fructose corn syrup and

29 were trying to limit low-calorie sweeteners7

International Food Information Council Foundation 2012 Food amp Health Survey

Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_Food

_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutrition_and_

Health Accessed June 11 2012

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 15: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

15

2012 survey of American adults

by the International Food Information Council Foundation

When asked to select ge1 choices from a list of reasons for using NNS

41 chose ldquoare an option for people with diabetesrdquo

41 chose ldquocan reduce the calorie content of foodsrdquo

40 chose ldquocan play a role in weight loss or weight managementrdquo

30 chose ldquocan be part of an overall healthful dietrdquo and

31 chose ldquodont know enough about them to provide an answerrdquo

73 of those consuming NNS reported doing so to reduce total calories

consumed

International Food Information Council Foundation 2012 Food amp Health

Survey Consumer Attitudes toward Food Safety Nutrition and

Health httpwwwfoodinsightorgResourcesDetailaspxtopic=2012_F

ood_Health_Survey_Consumer_Attitudes_toward_Food_Safety_Nutriti

on_and_Health Accessed June 11 2012

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 16: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

bull A 2009 American Heart Association scientific statement titled ldquoDietary Sugars Intake and Cardiovascular Healthrdquo (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines (2) For this reason the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 17: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

17

Nonnutritive sweeteners and hypocaloric sweeteners

bullUse of nonnutritive sweeteners (NNSs) has the potential to reduce overall

calorie and carbohydrate intake if substituted for caloric sweeteners without

compensation by intake of additional calories from other food sources (B)

The US Food and Drug Administration has reviewed several types of

hypocaloric sweeteners (eg NNSs and sugar alcohols) for safety and

approved them for consumption by the general public including people with

diabetes (145) Research supports that NNSs do not produce a glycemic effect

however foods containing NNSs may affect glycemia based on other

ingredients in the product (11) An American Heart Association and ADA

scientific statement on NNS consumption concludes that there is not enough

evidence to determine whether NNS use actually leads to reduction in body

weight or reduction in cardiometabolic risk factors (146) These conclusions are

consistent with a systematic review of hypocaloric sweeteners (including sugar

alcohols) that found little evidence that the use of NNSs lead to reductions

in body weight (147) If NNSs are used to replace caloric sweeteners without

caloric compensation then NNSs may be useful in reducing caloric and

carbohydrate intake (146) although further research is needed to confirm these

results (147)

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 18: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Mean (plusmn SEM) changes in body weight fat mass and fat-free mass during an intervention in which overweight subjects consumed supplements containing either sucrose (bull n = 21) or

artificial sweeteners ( n = 20) daily for 10 wk

Anne Raben et al Am J Clin Nutr 200276721-729

copy2002 by American Society for Nutrition

35 women and 6 men

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 19: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Br J Nutr 2007 Jan97(1)193-203

Long-term dietary compensation for added sugar

effects of supplementary sucrose drinks over a 4-week

period

Reid M1 Hammersley R Hill AJ Skidmore P

in normal-weight women (n 133)

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 20: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

BMI trends over 25 weeks for the intervention (A slope = minus0081 kgm2 P = 0005) and control (B slope = 0002 kgm2 P = 95) groups as a function of baseline BMI The intervention effect

was significant as shown by 95 confidence band on difference bet

Cara B Ebbeling et al Pediatrics 2006117673-680

copy2006 by American Academy of Pediatrics

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 21: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Because all 6 of these NNS have current US

Food and Drug Administration approval issues

related to safety of these compounds are not

addressed In addition the review of the

literature is primarily restricted to human studies

in which noncaloric sweeteners are used as a

replacement for caloric sweeteners

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 22: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

EPIC UK

bull The characteristics of ASB consumers were the most different from the total cohort ASB consumers were younger and more likely to be women obese and to have reported a family history of diabetes They also reported being the most physically active and had the lowest TEIs

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 23: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Μικροβίωμα εντέρου

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 24: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

26

Δόση γλυκαντικού που χρησιμοποιείται σε αυτά τα πειράματα

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 25: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Aκετοσουλφάμη-Κ

bull 375 mgkg βάρους σώματοςΜέρα

bull ADI 15 mg

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 26: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Αύξηση βάρους μόνο στα αρσενικά (A)Μικρόβια σχετιζόμενα με μεταβολισμό (B)αρσενικά (C)θηλυκά

Kun Lu PLoS One 2017 12(6) e0178426

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 27: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Λειτουργική ανάλυση γονιδίων μεταβολισμού σε αρσενικά

Kun Lu PLoS One 2017 12(6) e0178426

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 28: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Γονίδια σχετιζόμενα με φλεγμονή

Kun Lu PLoS One 2017 12(6) e0178426

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 29: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Σακχαρίνη-ADI 5 mgkg βάρους

Elivan E Nature 514 181ndash186 (09 October 2014)

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 30: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Με αντιβιοτικά επανέρχεται το σάκχαρο

Elivan E Nature 514 181ndash186 (09 October 2014)

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 31: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Μετέφεραν μικροβιωμα σε άλλα ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 32: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

386 Μη διαβητικοί

Elivan E Nature 514 181ndash186 (09 October 2014)

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 33: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

7 Μη καταναλωτες

Elivan E Nature 514 181ndash186 (09 October 2014)

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 34: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Μεταφορά μικροβιωματος σε ποντίκια

Elivan E Nature 514 181ndash186 (09 October 2014)

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 35: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

bull This dose corresponds to the FDA acceptable daily intake (ADI) in humans (5 mg per kg (bodyweight) adjusted to mouse weights see Methods)

bull 42 τενεκεδάκια μέρα

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 36: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Μηχανισμοί κορεσμού και ανταμοιβής

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 37: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Κατανάλωση θερμίδων

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 38: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Βάρος

SwithersPhysiol Behav 2010 Apr 26 100(1) 55ndash62

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 39: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Χρήστες γλυκαντικών επεξεργάζονται διαφορετικά τη γεύση γλυκού

Diet soda drinkers demonstrated greater activation to sweet taste dopaminergic midbrain (including ventral tegmental area) and right amygdala

Saccharin elicited a greater response in the right orbitofrontal cortex (BrodmannArea 47) relative to sucrose in nondiet soda drinkers There was no difference in fMRI response to the nutritive or nonnutritive sweetenerfor diet soda drinkers Within the diet soda drinkers fMRI activation of the right caudate head in response to saccharin was negatively associated with the amount of diet sodas consumedper week individuals who consumed a greater number of diet sodas had reduced caudatehead activation These findings suggest that there are alterations in reward processing ofSweet taste in individuals who regularly consume diet soda and this is associated with the degree of consumption

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 40: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Ενεργοποιούνται διαφορετικές περιοχές σε αυτούς που πίνουν

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 41: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 42: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Ποσότητα

Murphy C Physiol Behav 2012 Nov 5 107(4) 560ndash567

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 43: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

bull Eur J Clin Nutr 2011 Apr65(4)508-13 doi 101038ejcn2010291 Epub 2011 Jan 19

bull Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects

bull 50 ml of either water sucralose (0083 wv)

bull At this dose oral ingestion of sucralose does not increase plasma GLP-1 or PYY insulin or appetite

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 44: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

From Maternal consumption of artificially sweetened beverages during pregnancy and offspring growth through 7 years

of age a prospective cohort studyInt J Epidemiol Published online June 06 2017 doi101093ijedyx095

Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association 2017 This work is written

by US Government employees and is in the public domain in the United States

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 45: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Steviol glycosides enhance pancreatic beta-cell function and taste sensation by potentiation of

TRPM5 channel activity

bull 124thinspμM or 100thinspmgthinsplminus1

bull This concentration is half of the maximum allowed dosage of SGs in soft drinks allowed in the European Union and

bull lt25 of the suggested maximal dose by the World Health Organization and Food and Agriculture Organization3940

Nat Commun 2017 8 14733

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια

Page 46: Γλκανικές οσίες και διαβήης - Livemedia.gr · 2017. 11. 9. · artificial sweeteners ... There was no difference in fMRI response to the nutritive or nonnutritive

Συμπερασματικά

bull Ποσότητα

bull Αντιστάθμιση

bull Προοπτικές μελέτες

bull Ρόλος στο έντερο

bull Ρόλος στο κεντρικό νευρικό σύστημα

bull Επανεκτίμηση των ADI

bull Εγκυμοσύνη

bull Στεβια